The physical nature of an IOL depends mainly on the material it is made up of. Although surface changes on the lens capsule can manifest as capsular opacification, as often noted after cataract surgery, IOL surface changes are not common. Optic abrasions, pigment dispersion, discoloration and opacification are the possible surface changes that can happen in the optic. An optic of 3 mm to 4 mm covers the pupillary zone in a normal anatomical situation, and surface abnormalities in this zone risk disturbing the patient’s best corrected vision. Optic opacification (Read more...)
Impact of phaco plus goniosynechialysis minimal in well-controlled glaucoma
In patients with medically well-controlled chronic angle-closure glaucoma and cataracts, combined phacoemulsification and goniosynechialysis rather than phaco alone did not significantly affect the IOP-lowering effect, according to a study.“I tend to perform synechialysis along with cataract surgery empirically for patients with chronic angle-closure glaucoma (CACG),” co-investigator Chan Yun Kim, MD, PhD, who sought to determine if such a regimen had a substantial clinical impact on patient outcomes, said.
ICL delivers visual stability, low complication rate at 12 years
A posterior chamber phakic IOL yielded a low incidence of complications and sustained refractive outcomes and visual stability in the correction of high myopia over the long term, according to a study.The study, published in the Journal of Refractive S…
Girl referred for visual field defect, ‘heavy’ sensation behind eye
A 13-year-old girl was referred from an outside ophthalmologist with a complaint of a “gray line going straight through” the visual field in her left eye that began 2 days before presentation. One day before presentation, she began having a “dull, heavy” sensation behind her left eye, with a severity of 8 out of 10, as well as expansion of her visual field defect peripherally, described as “the gray blob spread.”On presentation, she described her pain as “minimal” but noted her vision still remained very poor. She denied any prior (Read more...)
Dry eye symptoms correlated to non-ocular conditions
Dry eye symptoms may be more closely correlated to non-ocular conditions than tear film status, according to a study.Because dry eye is caused by different pathophysiological mechanisms, there can be poor correlation between signs and symptoms. Most of…
Algorithm may guide treat-and-extend anti-VEGF regimens for retinal disease
A new algorithm may be used to tailor treat-and-extend intravitreal anti-VEGF therapy to individual patients with retinal disease, according to a study.An international group of retina specialists reviewed the literature on treat-and-extend regimens an…